| NPI | 1710323100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MN 67199) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R73854) |
| 208000000X Pediatrics (Licence: AZ R73854) | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2020-07-03 |